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An 82-year-old male patient has been experiencing gradual hearing loss over the ...

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An 82-year-old male patient has been experiencing gradual hearing loss over the years. He mentions that he struggles to hear high-pitched sounds, particularly letters like “s,” “ch,” and “sh,” and often has difficulty following conversations. His family reports that he frequently asks people to speak louder and turns up the TV volume to uncomfortable levels. Based on this information, what is the most likely cause of his hearing difficulties?
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